Quote:
Originally Posted by dmplaura
Ok, I dug out my MRI sheets to re-read what they said exactly. They did 2 reports over a year ago.
They called it "Enhanced MR Brain", at the top 'MRI/Brain Scan- Enhanced'.
Then it reads:
"The exam was done according to the tumor protocol.
Both orbits, the pituitary, the corpus callosum ventricles, brainstem and cerebellum are normal.
There was no cerebellopontine lesion detected."
Then it goes on to read:
"On the FLAIR images there are multiple ovoid hyperintensities in the deep periventricular white matter. Some of the lesions extend into the centrum semiovale. Many of the lesions have increased signal on the diffusion weighted sequence and demonstrate enhancement.
The findings may be related to a demyelinating process with lesions in the active phase."
So maybe I'm confused about what exams they actually did for me, and the results. That's what their findings were in any event.
Will be interesting to see what they have to say following this round.
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Just so you and everyone else understands - the FLAIR sequence is done
before gadolinium is injected. The only sequences done after the injection are T1-weighted. They described your scan as "Enhanced MR Brain", but what they meant and should have written was "Enhanced and Non-Enhanced," or simply "MRI Brain With and Without Gadolinium." Your report describes some post-gadolinium enhancement of lesions that were seen on the pre-gadolinium FLAIR sequence.
Regarding gadolinium and NSF - kidney function is checked on all patients 60 years and older, specifically the Glomerular Filtration Rate (GFR). This is basically the rate at which your kidneys will clear the gadolinium. The number is computed using the Creatinine level and a combination of other factors - age, race and sex. If you are below the age of 60, the GFR is generally not checked, as it has been shown that GFR is not a factor in renally healthy patients under 60.
However - we always ask everyone about renal disease, and if you have renal disease (and in our center, asthma)
we will not inject you.